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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT .. COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00062 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/7/2007 PARCEL: 1512600 -00300 SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG PROJECT: BARE ESCENTUALS Project Description: Audio /Stereo. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC MUZAK LLC BY THE MACERICH COMPANY 12449 NE MARX ST BLDG 10 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97230 TIGARD, OR 97223 Phone: Contact #: PRI 503- 889 -3848 FAX 503- 889 -3883 FEES Reg #: ELE 26- 1055CLE LIC 142760 Description Date Amount [ELPRMT] ELR Permit 3/7/2007 $75.00 [TAX] 8% State Surcha 3/7/2007 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: ` s /' �'`� 1�� /� Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � - � —� Yom- DATE: 3 1 107 LICENSE NO: 0 ( L FL Q Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit Application FOR OFFICE USE ONLY City f Tigard tY .EIVE® R g Date /B : / r . r / / /;; -_' II 13125 SW Hall Blvd., Tigard, OR 4722 Plan Review C . Phone: 503.639.4171 Fax: 503.598. ' ; •AR ® 7 2001 y Date/R Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By. Juris ® See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information TYPE OF SUi1IPiNO DIVISION PLAN REVIEW ® New construction ❑ Addition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "I - ", Job no.: Job site address: 9534 SW WASHINGTON SQUARE 100HP or more. occupancy ut Nan ❑ Six or more residential units. ❑ Recreational vehicle parks City/ State/ZiP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal. Suite/bldg. /apt. no.: Project name: BARE ESCENTUALS ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qtv• I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 SOUND SYSTEM Limited energy, multi family 75.00 2 residential (with above sq. ft ) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6 65 2 Business name: B Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each,manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: MUZAK Signal circuit(s) or limited - energy panel, alteration, or Address: 12449 NE MARX extension. Describe. I Page 2 I 2 City/State/ZIP: PORTLAND, OR 97230 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 8893848 Fax: (503) 8893883 Investigation per hour (I hr min) 62.50 CCB Lic.: 142760 Electrical Lic.: 26 -1055C Suprv. Lic.: 2016LEB Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: uu 1 • Subtotal: Print name: WILLIAM HIGGiNS 10 ate: 3/7/07 P lan review (25% of permit fee): State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I \Building \Permits \ELC- PeimitApp.doc 05/23/06 440-46I5'I'(I I /05 /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00062 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007 Phone: (503) 639 -4171 o Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM PAGE: 40 SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BARE ESCENTUALS DESCRIPTION: Audio/Stereo. OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: MUZAK LLC PHONE #: 503.883.36413 Inspection Request Scheduled For: Date: 4/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 045960-01 925- 457 -3410 N r Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - tg Date: • 4 ' Q 1 Phone #: (503) 718-144 CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELR2007-00062 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007 Phone: (503) 639 -4171 �► Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 318/2007 TIME: 7:01AM PAGE: 57 SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H - 12A CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: BARE ESCENTUALS DESCRIPTION: Audio /Stereo OWNER: WASHINGTON SQUARE; LLC, PHONE #: CONTRACTOR: MUZAK LIC PHONE #: 5034389 Inspection Request Scheduled For: Date: 3/8/2007 Pour Time: Code # Inspection Description onfirm Contact # Message '135 Low voltage 044500 -01 803-242-7874 N Corrections /Comments /Instructions: K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ON V' Date: ( 3 % 09 Phone #: (503) 718- 2•LILAC